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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Neurology

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    Myasthenia gravis: Frequently asked questions
    John A. Morren, MD and Yuebing Li, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 103-113; DOI: https://doi.org/10.3949/ccjm.90a.22017

    Who is at risk? Which tests should be ordered? How does the disease course affect management decisions? What instructions should you give patients? And other questions.

  • You have access
    Myasthenia gravis: An update for internists
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 72-73; DOI: https://doi.org/10.3949/ccjm.90b.02023

    Recognizing the spectrum of the disease in patients’ complaints enhances our clinical reasoning skills when faced with the extremely commonly expressed symptom of “fatigue.”

  • You have access
    Our Peer-Reviewers For 2022
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 78;
  • You have access
    What are the treatment options for myasthenia gravis if first-line agents fail?
    Christopher Zust, MD and John A. Morren, MD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 81-84; DOI: https://doi.org/10.3949/ccjm.90a.22022

    From 5% to 20% of patients may have a suboptimal response or prohibitive adverse effects over a period of a few weeks to 3 months.

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    Which patients hospitalized with alcohol withdrawal syndrome should receive high-dose parenteral thiamine?
    Rahul B. Ganatra, MD, MPH, Anthony C. Breu, MD and Matthew V. Ronan, MD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 22-25; DOI: https://doi.org/10.3949/ccjm.90a.22026

    The authors briefly outline risk factors for Wernicke encephalopathy and when high-dose parenteral thiamine is indicated.

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    Central vision loss in a 44-year-old woman
    Walker M. Schmidt, BS, Nirosha D. Perera, MD, Blake H. Fortes, MD, Benjamin A. Nelson, MD, Wendy M. Smith, MD and Hannah C. Nordhues, MD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 35-41; DOI: https://doi.org/10.3949/ccjm.90a.22038

    The patient had a wide range of symptoms and comorbidities, resulting in a complicated differential diagnosis. Careful evaluation eventually led to a focus on sexually transmitted infection.

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    A 60-year-old man with prostate cancer and embolic strokes
    CME article
    Neha K. Reddy, MD, MA, Christian Scherer, DO, Samuel Kessel, MD, MBA and Alejandro Moreno, MBBS, MPH, JD, MACP
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 705-711; DOI: https://doi.org/10.3949/ccjm.89a.21079

    Step-by-step evaluation of a patient with stage IV prostate cancer and embolic stroke, but no history of heart valve disease, arrhythmia, or coagulopathy.

  • Benign paroxysmal positional vertigo: Effective diagnosis and treatment
    You have access
    Benign paroxysmal positional vertigo: Effective diagnosis and treatment
    Shayna R. Cole, AuD, CCC-A and Julie A. Honaker, PhD, CCC-A
    Cleveland Clinic Journal of Medicine November 2022, 89 (11) 653-662; DOI: https://doi.org/10.3949/ccjm.89a.21057

    The authors review how to differentiate this balance disorder from others, and how best to treat it with position-changing maneuvers.

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    Confusion in a 22-year-old woman, and diagnostic uncertainty
    Brian Elliott, MD, Christopher Newey, DO, MS, Katelynn Alcorn, MPH and Luke McCoy, MD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 589-595; DOI: https://doi.org/10.3949/ccjm.89a.20176

    The patient had been complaining of gradual-onset and progressive headache and neck and back pain for 3 weeks.

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    Phenytoin-induced gingival overgrowth
    Mitesh Karn, Ranjan Sah and Shabal Sapkota, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 488-489; DOI: https://doi.org/10.3949/ccjm.89a.21107

    A young man presented with lower-extremity weakness and slurred speech. He has been on seizure prophylaxis after experiencing a seizure following hemicraniectomy for subdural hematoma.

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